THE COST OF DOING A BEST PRACTICENOTHING RECOMMENDATION IS ENORMOUS IN THE GOVERNOR’S HOUSING POLICY FRAMEWORK FOR THE COMMONWEALTH OF

ENDORSED BY SOUTH MAYORS AND CHAIRS

Peer-based Residential Recovery Program that ends homelessness and establishes self-sufficiency.

Agenda Item #5 Representing Health Region 5: Eastern Shore, Peninsula, , , South Hampton Roads and Western THE NEED IS GREAT

THE COST OF DOING NOTHING IS ENORMOUS

THE HEALING PLACE MODEL WORKS

THE HEALING PLACE MODEL COSTS LESS THAN ALTERNATIVES INCLUDING JAIL, PRISON & HOSPITALIZATION

HOMELESSNESS & SUBSTANCE ABUSE IN HAMPTON ROADS Agenda Item #5 HOMELESSNESS & BUT… SUBSTANCE ABUSE IN HAMPTON ROADS Shelters require sobriety before admittance Virginia lacks capacity for recovery services THE PROBLEM IS BIG: • 9,000 homeless in Hampton Many cycle through costly hospitals and jails Roads* per year • 2/3 need services for addiction** o 8,749 public drunk arrests in 2012 *** *Estimate Includes Health Planning Region 5 plus 2014 Annual HUD Point-in-Time Count o 7,267 DUI arrests in 2012*** data ** National Coalition for the Homeless , SAMHSA Data • 12% are veterans *** Health Planning Region 5 Totals Agenda Item #5

VETERANS EXPERIENCING HOMELESSNESS IN VIRGINIA • On a single night in January 2013, at Approximately 70% of least 719 men and women veterans homeless veterans were counted as experiencing homelessness. suffer from a • Throughout the year, this number can substance abuse be 3-5x higher: Estimated that 2,100 – disorder. 2,800 men and women veterans experienced homelessness in 2013. • •Veterans represent 17% of the total homeless population in Virginia. Virginia Coalition to End Homelessness & Virginia Wounded Warrior Program/VA Department of Veteran Services • In 2013, 44% of homeless veterans in Virginia were from Hampton Roads. Agenda Item #5 HOMELESSNESS & THE IMPACT OF DOING NOTHING: SUBSTANCE ABUSE COMMON CYCLE FOR CHRONIC HOMELESS PERSON IN HAMPTON ROADS

BY THE NUMBERS: HOSPITAL STREET $78: daily cost of a jail bed in Hampton Roads $613 million: the cost of doing nothing about substance abuse to the state and localities in SHELTER JAIL 2006*

JLARC 2008, Mitigating the Costs of Substance Abuse in Virginia Agenda Item #5

THE COST OF SUBSTANCE ABUSE TO THE STATE & LOCALITIES IN 2006: $613 MILLION

PUBLIC SAFETY HEALTH-RELATED SERVICES

Incarceration Medicaid Law Enforcement

$586 Adjucation $27 Treatment for State Employees MILLION MILLION Motor Vehicle Uninsured Crashes Probation

Agenda Item #5 Joint Legislative Audit and Review Commission, 2008, Mitigating the Costs of Substance Abuse in Virginia. IDENTIFIED COSTS APPROXIMATELY $30 PER DAY PER SOLUTION: THE CLIENT HEALING PLACE 65% remain sober one year later (other programs average 23%) “The Healing Place of Hampton Roads is a residential substance RELIEVE JAILS, PRISONS & EMERGENCY abuse program that ends DEPARTMENTS OF POPULATION THAT homelessness and establishes DOESN’T NEED TO BE INCARCERATED self-sufficiency.” Of those 65%, 85% remain sober for two years

Agenda Item #5 COST SAVINGS $800

$700 Daily Cost to Serve a Homeless Person with an Addiction in $600

Hampton Roads $500 The Healing Place Jail $400 State Detox Services For every $1 invested in EMS Transport recovery, $4 - $7 are saved in $300 ER reduced drug-related crime, criminal justice costs, and $200 theft. $100

$0

Agenda Item #5 THE HEALING PLACE MODEL “A MODEL THAT WORKS” -- U.S. HOUSING & URBAN DEVELOPMENT IN 1998

A NON-PROFIT, PEER- TO-PEER • Grounded in 12 Steps and 12 Traditions of AA RESIDENTIAL RECOVERY • Emphasizes personal responsibility and PROGRAM accountability • Shared leadership • Based upon voluntary vs. coerced recovery initiation

MEN’S FACILITY 200 beds for single men (40 Veterans annually)

WOMEN’S FACILITY 100 beds for single women (20 Veterans annually) Agenda Item #5

THE HEALING PLACE SPECIFIC GOALS: MODEL  Reduce homelessness in South Hampton Roads  Reduce the cost to taxpayers of placing intoxicated homeless individuals in jail or “A model that works.” hospitals -- U.S. Housing & Urban  Provide long-term data collection of program success Development in 1998  Foster a recovery environment of responsibility and accountability so that participants gain Clients will gain and maintain employment, and become taxpayers and contributors to their communities, and sobriety.  Provide family reunification services as clients regain sobriety

Agenda Item #5 THE HEALING PLACE COMBINED 12-MONTH SOBRIETY OUTCOMES: OF WAKE COUNTY 5 YEAR COMPARISON # To Avg. time to Total in SOBRIETY OUTCOMES Year % complete complete recovery Over a five-year period, The Healing Place of Wake County 2011 49 487.83 days 34 69.39% recovery success exceeded an 2010 56 461.10 days 42 75.00% impressive 60% and reached as high as 75%. 2009 58 438.37 days 43 74.14%

2008 57 432.83 days 42 73.68%

2007 56 377.02 days 40 71.43%

Agenda Item #5 THE HEALING PLACE OF HAMPTON ROADS SERVICE AREA

Eastern Shore: Accomack County, Northampton County Peninsula: Hampton, Newport News, Poquoson, Williamsburg, James City County, York County Middle Peninsula: Essex County, Gloucester County, King and Queen County, King William County, Mathews County, Middlesex County Northern Neck: Lancaster County, Northumberland County, Richmond County, Westmoreland County South Hampton Roads: Chesapeake, Portsmouth, Norfolk, Virginia Beach Western Tidewater: Franklin, Suffolk, Isle of Wight County, Southampton County Agenda Item #5 THE HEALING PLACE OF WAKE COUNTY The Healing Place of Hampton Roads will be modeled on the high quality facility and programming in Wake County, NC.

Agenda Item #5 THE HEALING PLACE OF WAKE COUNTY Men’s Facility Courtyard

Agenda Item #5 THE HEALING PLACE OF WAKE COUNTY Women’s Facility

Agenda Item #5 THE HEALING PLACE OF WAKE COUNTY Women’s Facility Courtyard

Agenda Item #5 PHYSICAL DESIGN & INCENTIVES TO RECOVERY

Clients are attracted into recovery through direct involvement with current clients in the Recovery Program, as well as alumni of The Healing Place. • The Healing Place of Wake County consistently serves 92% – 95% of all detox admissions without requiring referral to a higher level of medical care. THE HEALING PLACE OF WAKE COUNTY • Receives approximately 20% of admissions Sobering Up Center and Overnight Shelter: No privacy and no storage directly from law enforcement • Engages 55% – 60% of clients in the Recovery Program Agenda Item #5 PHYSICAL DESIGN & INCENTIVES TO RECOVERY

MOTIVATIONAL COMPONENT:

Clients receive a guaranteed bed and place to store their personal belongings in exchange for attending the first four Recovery Dynamics® group sessions (Step One).

Clients are engaged by : THE HEALING PLACE OF WAKE COUNTY • Minimum requirements Choosing Recover: Privacy walls and dressers • Individuals enrolled in services • Making a greater commitment to the Recovery Program Agenda Item #5 PHYSICAL DESIGN & INCENTIVES TO RECOVERY

EDUCATIONAL COMPONENT:

Recovery Program attendees complete the remaining Recovery Dynamics® groups sessions (Steps Two – Twelve) and assume greater responsibility for the daily operations of the facility through regular job assignments. THE HEALING PLACE OF WAKE COUNTY As a result of the increased responsibilities and commitment to recovery, clients have Maintaining Recovery : Semi-private “pod,” greater authority to make decisions about more privacy and more space their peer community.

Agenda Item #5 PHYSICAL DESIGN & INCENTIVES TO RECOVERY

TRANSITION PARTICIPANTS MUST:

 Teach Recovery Dynamics

 Reunify with family  Obtain employment  Find stable housing THE HEALING PLACE OF WAKE COUNTY Transition Phase: Room with bed, desk and dressers

Agenda Item #5 $300,000 THE HEALING PLACE $258,352 OF WAKE COUNTY $250,000 2012 ALUMNI TAX WITHHOLDINGS $200,000 SURVEY $150,000

$100,000 AVERAGE = $7,829 $50,000

$0

2012 Sample = 33

Agenda Item #5 PROPOSAL FOR STATEWIDE NETWORK

A public-private partnership with Virginia contributing  RICHMOND: ESTABLISHED 2005 $6 million annually (1% of what substance abuse costs Virginia each year).  HAMPTON ROADS:* ESTIMATED OPENING IN 2016 Funding requests to the Commonwealth are in addition to state allocations to existing providers, and  LYNCHBURG: UNDER DEVELOPMENT will in no way compete with current residential  : PLANNING treatment providers. PHASE Instead, The Healing Place will complement existing programs and expand capacity for these services in

Virginia. Agenda Item #5

THE HEALING PLACE OF HAMPTON ROADS BOARD OF DIRECTORS

• Chair: Edward Ladd, Retired Business Executive • Mark Freeze, PHD, Executive Director Eastern Shore Community Services Board • Secretary: Bobby Sharon, HBA Architecture & Interior Design • Harvey Bilisoly, The Cost Segregation Group • Treasurer: Mark Moore, Director, Scientific • Nicholas Eisenberg, Associate Vice President of Affairs LifeNet Health Business Improvement, Amerigroup Corp/Wellpoint • Andrea M. Kilmer, CPA VP/Treasurer, The ESG Companies • Karen Wilds, Executive Director, Newport News Redevelopment and Housing Authority • Mallory Read, M.D. Retired Emergency Room Physician • James Gray, Retired Assistant City Manager – Hampton, VA • Amy L. Harman, Esq. Kaufman and Canoles Agenda Item #5

NEXT STEPS

 INCREASE BOARD MEMBERSHIP  SECURE SITES FOR MEN’S & WOMEN’S FACILITIES Ideal Site: • Industrial area • Close to public transportation • Easy access to 12 Step meetings and employment opportunities  CONDUCT CAMPAIGN DEVELOPMENT PLANNING STUDY THE HEALING PLACE OF HAMPTON ROADS  OPERATIONS PLAN Rendering of Men’s Facility Work with local and state stakeholders to establish funding for continued sustainability Agenda Item #5 THE NEED IS GREAT Approximately 6,000 people homeless and addicted in Hampton Roads annually

THE COST OF DOING NOTHING IS ENORMOUS Annual cost of $600 million

THE HEALING PLACE MODEL WORKS 65% of Healing Place graduates maintain sobriety for at least a year

THE HEALING PLACE MODEL COSTS LESS THAN ALTERNATIVES INCLUDING JAIL, PRISON & HOSPITALIZATION HOMELESSNESS & The Healing Place costs $30 per day per person SUBSTANCE ABUSE IN HAMPTON ROADS Agenda Item #5 LEARN MORE

The Healing Place of Richmond, VA www.caritasva.org/healingplace.html

The Healing Place of Wake County, NC www.hpowc.org

The Healing Place of Louisville, KY www.thehealingplace.org

Contact: Ruth Hill, Executive Director [email protected] VISIT US ONLINE (757) 217-0408 www.thehealingplacehr.org

Agenda Item #5